| NPI | 1306290044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.149023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0072793) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2024-05-02 |